Electrocoagulation of perianal warts: a word of caution.

Abstract:

BACKGROUND:Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option. METHOD:A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stricture, which necessitated a defunctioning colostomy. RESULT:A gradual and spontaneous resolution of the stricture was observed over the following 18 months. Closure of the colostomy was followed by satisfactory anal function. CONCLUSION:Electrocautery of extensive perianal warts should be used with caution. Preservation of healthy skin bridges between lesions is essential if perianal stricture is to be avoided, and may best be achieved by sharp scissors dissection.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Ammori BJ,Ausobsky JR

doi

10.1159/000018856

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

296-7

issue

3

eissn

0253-4886

issn

1421-9883

pii

18856

journal_volume

17

pub_type

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